Florida Senate - 2021                        COMMITTEE AMENDMENT
       Bill No. SB 1540
                              LEGISLATIVE ACTION                        
                    Senate             .             House              

       The Committee on Health Policy (Gibson) recommended the
    1         Senate Amendment (with title amendment)
    3         Delete lines 110 - 190
    4  and insert:
    5         (h) “Perinatal professionals” means doulas, personnel from
    6  Healthy Start and home visiting programs, childbirth educators,
    7  community health workers, peer supporters, certified lactation
    8  consultants, nutritionists and dietitians, social workers, and
    9  other licensed and nonlicensed professionals who assist women
   10  through their prenatal or postpartum periods.
   11         (i) “Postpartum” means the 1-year period beginning on the
   12  last day of a woman’s pregnancy.
   13         (j) “Severe maternal morbidity” means an unexpected outcome
   14  caused by a woman’s labor and delivery which results in
   15  significant short-term or long-term consequences to the woman’s
   16  health.
   17         (k) “Technology-enabled collaborative learning and capacity
   18  building model” means a distance health care education model
   19  that connects health care professionals, particularly
   20  specialists, with other health care professionals through
   21  simultaneous interactive videoconferencing for the purpose of
   22  facilitating case-based learning, disseminating best practices,
   23  and evaluating outcomes in the context of maternal health care.
   24         (2) PURPOSE.—The purpose of the pilot programs is to:
   25         (a) Expand the use of technology-enabled collaborative
   26  learning and capacity building models to improve maternal health
   27  outcomes for the following populations and demographics:
   28         1. Ethnic and minority populations.
   29         2. Health professional shortage areas.
   30         3. Areas with significant racial and ethnic disparities in
   31  maternal health outcomes and high rates of adverse maternal
   32  health outcomes, including, but not limited to, maternal
   33  mortality and severe maternal morbidity.
   34         4. Medically underserved populations.
   35         5. Indigenous populations.
   36         (b) Provide for the adoption and use of telehealth services
   37  that allow for screening and treatment of common pregnancy
   38  related complications, including, but not limited to, anxiety,
   39  depression, substance use disorder, hemorrhage, infection,
   40  amniotic fluid embolism, thrombotic pulmonary or other embolism,
   41  hypertensive disorders relating to pregnancy, diabetes,
   42  cerebrovascular accidents, cardiomyopathy, and other
   43  cardiovascular conditions.
   44         (3) TELEHEALTH SERVICES AND EDUCATION.—The pilot programs
   45  shall adopt the use of telehealth or coordinate with prenatal
   46  home visiting programs to provide all of the following services
   47  and education to eligible pregnant women up to the last day of
   48  their postpartum periods, as applicable:
   49         (a) Referrals to Healthy Start’s coordinated intake and
   50  referral program to offer families prenatal home visiting
   51  services.
   52         (b) Services and education addressing social determinants
   53  of health, including, but not limited to, all of the following:
   54         1. Housing placement options.
   55         2. Transportation services or information on how to access
   56  such services.
   57         3. Nutrition counseling.
   58         4. Access to healthy foods.
   59         5. Lactation support.
   60         6. Lead abatement and other efforts to improve air and
   61  water quality.
   62         7. Child care options.
   63         8. Car seat installation and training.
   64         9. Wellness and stress management programs.
   65         10. Coordination across safety net and social support
   66  services and programs.
   67         (c) Evidence-based health literacy and pregnancy,
   68  childbirth, and parenting education for women in the prenatal
   69  and postpartum periods.
   70         (d) For women during their pregnancies through the
   71  postpartum periods, connection to support from doulas and other
   72  perinatal health workers.
   73         (e) Tools for prenatal women to conduct key components of
   74  maternal wellness checks, including, but not limited to, all of
   75  the following:
   76         1. A device to measure body weight, such as a scale.
   77         2. A device to measure blood pressure which has a verbal
   78  reader to assist the pregnant woman in reading the device and to
   79  ensure that the health care practitioner performing the wellness
   80  check through telehealth is able to hear the reading.
   81         3. A device to measure blood sugar levels with a verbal
   82  reader to assist the pregnant woman in reading the device and to
   83  ensure that the health care practitioner performing the wellness
   84  check through telehealth is able to hear the reading.
   85         4. Any other device that the health care practitioner
   86  performing wellness checks through telehealth deems necessary.
   88  ================= T I T L E  A M E N D M E N T ================
   89  And the title is amended as follows:
   90         Delete line 12
   91  and insert:
   92         services, or coordinate with prenatal home visiting
   93         programs to provide specified services, to eligible
   94         pregnant women for a specified